Hemorrhagic Stroke - Oren Zarif - Hemorrhagic Stroke
Hemorrhagic stroke is a condition in which blood clots in the brain. The stroke itself may be small or large, but it's still potentially life-threatening. Hemorrhage can occur from a variety of causes, including brain tumors, metastasizing cancer, and severe infections of the brain. Common types of hemorrhage include intracerebral hemorrhage, subarachnoid hemorrhage, and cerebral cavernous malformation. If the bleeding continues untreated, this condition may progress into a clotting disorder.
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Treatment for hemorrhagic stroke varies and depends on the type and location of the hemorrhage. Surgical procedures can help to seal off the aneurysm and stop the bleeding. Medicines to reduce swelling, pain, and seizures may be prescribed. Rehabilitation often begins in the hospital and continues in a rehabilitation center after discharge. Most patients experience cognitive dysfunction after a hemorrhagic stroke, a condition characterized by difficulty with concentration, memory, and performing easy tasks.
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Hemorrhagic stroke symptoms are similar to those seen in other types of stroke, but they're not as severe. Symptoms include a sudden, intense headache, numbness on one side of the body, and nausea and vomiting. People with high blood pressure or obesity are at higher risk of suffering from hemorrhagic stroke. Those with diabetes are also at risk for this type of stroke.
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While stroke is most commonly associated with the elderly, it can affect children. About 44% of hemorrhagic strokes in children occur in children, compared to just 13% in adults. While symptoms of hemorrhagic stroke may not be noticeable at birth, they might not become apparent until a child develops. Children with hemorrhagic stroke may have symptoms of dehydration or weakness. If symptoms persist, emergency treatment may include measures to reduce pressure on the brain or to avoid dehydration.
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The most common type of hemorrhagic stroke is intracerebral hemorrhage. However, there are also cases of subarachnoid hemorrhage. When a blood vessel in the brain ruptures, it causes bleeding in the subarachnoid space and damages brain cells. Aneurysms are responsible for about 15% of all hemorrhagic strokes, and some people have atrial fibrillation, a condition that affects the upper chambers of the heart. Other possible causes are bleeding disorders, or medications that reduce blood flow to the brain.
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A thorough medical history is critical for the accurate diagnosis of a hemorrhagic stroke. Imaging tests are performed to determine the type of stroke. In some cases, a CT scan or MRI can reveal abnormal blood vessels in the brain. In other cases, a catheter may be inserted into a blood vessel and contrast is injected into it. This procedure helps doctors find the source of the bleeding and decide on the best treatment.
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Treatment for hemorrhagic stroke patients should focus on controlling the bleeding and relieving pressure on the brain. If the stroke is treated quickly, survivors may survive. However, this is not a guaranteed outcome, and there are still many risks of death and disability. In fact, one in four stroke survivors will suffer another within five years. In addition to proper therapy, patients may need ongoing medication. If this is the case, it may take a lifetime to fully recover from the disease.
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A subarachnoid hemorrhage occurs when blood leaks into the space around the brain. This occurs in approximately five percent of all strokes and accounts for more than one-quarter of all deaths. People over the age of 40 are at increased risk for developing this condition. Around half of people who have subarachnoid haemorrhages die within four weeks. The majority of them are left with severe disabilities.
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Some signs of a hemorrhagic stroke include drooping arms or legs, difficulty speaking, or sudden difficulty walking. Some people also experience vomiting or altered consciousness. Depending on the severity of their brain damage, some stroke patients will lose coordination and balance. In addition, their speech may be slurred, distorted, or delayed. If you notice any of these symptoms, call 911 immediately. Time is brain and the sooner you can get help, the better.
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Acute medical care is essential to reduce damage to the brain and minimize the risk of a bleed. Treatments for hemorrhagic stroke include surgery and endovascular procedures. The former involves a catheter entering the body through the groin. Then a tiny coil is threaded through the catheter to prevent blood flow into the AVM and prevent rupture. While this treatment may not be permanent, it can significantly reduce the risk of a second occurrence.
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